A randomized controlled trial of electrostimulation effects on effussion, swelling and pain recovery after anterior cruciate ligament reconstruction: a pilot study

Ediz, Levent; Ceylan, Mehmet Fethi; Türktaş, Uğur; Yanmis, Ibrahim; Hiz, Ozcan

doi:10.1177/0269215511421029

Cited by 16 publications

(24 citation statements)

References 22 publications

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“…The level A2 RCT of Paternostro-Sluga et al 100 and the level B RCT of Fitzgerald et al 99 were included in both systematic reviews. Ediz et al 97 (level B RCT) and Lepley et al 102 (level C prospective cohort study) found no differences in effusion, pain, ROM and knee extension and flexion moments when electrostimulation was added to conventional rehabilitation. Feil et al 98 and Taradaj et al 101 (both level B RCTs) did examine quadriceps strength and found a higher increase in quadriceps strength when electrostimulation was added to conventional rehabilitation at a 6-month follow-up.…”

Section: Resultsmentioning

confidence: 98%

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Melick

Cingel

Brooijmans³

et al. 2016

Br J Sports Med

586

572

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AimThe Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction.DesignClinical practice guideline underpinned by systematic review and expert consensus.Data sourcesA multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline. MEDLINE and the Cochrane Library were searched for meta-analyses, systematic reviews, randomised controlled trials and prospective cohort studies published between January 1990 and June 2015.Eligibility criteria for selecting studiesIncluded literature must have addressed 1 of 9 predetermined clinical topics: (1) preoperative predictors for postoperative outcome, (2) effectiveness of physical therapy, (3) open and closed kinetic chain quadriceps exercises, (4) strength and neuromuscular training, (5) electrostimulation and electromyographic feedback, (6) cryotherapy, (7) measurements of functional performance, (8) return to play and (9) risk for reinjury.SummaryNinety studies were included as the basis for the evidence statement. Rehabilitation after ACL injury should include a prehabilitation phase and 3 criterion-based postoperative phases: (1) impairment-based, (2) sport-specific training and (3) return to play. A battery of strength and hop tests, quality of movement and psychological tests should be used to guide progression from one rehabilitation stage to the next. Postoperative rehabilitation should continue for 9–12 months. To assess readiness to return to play and the risk for reinjury, a test battery, including strength tests, hop tests and measurement of movement quality, should be used.

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Section: Resultsmentioning

confidence: 98%

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Melick

Cingel

Brooijmans³

et al. 2016

Br J Sports Med

586

572

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“…NMES waveform: low-frequency biphasic 95,97,98,101,[104][105][106][107] or medium-frequency burst-modulated AC 99,103,[108][109][110] Frequency: 30-50 Hz PC 95,97,101,[104][105][106][107] or 2500 Hz AC in 50 Hz bursts 99,110,111 Pulse duration: 250-400 ms 97,100,102,103,[105][106][107]112,113 Current amplitude: individual max tolerated intensity; minimum at strong but comfortable muscle contraction 95,97,99,100,105,106,109,112,113 Work-rest cycle: ON:OFF 6-10:12-50 s; 95,98,101,103,105,106 use lower duty cycle-e.g., work-rest 1:3-1:5-if the muscle is weaker to limit fatigue associated with an e...…”

Section: A Anterior Cruciate Ligament Reconstructionmentioning

confidence: 99%

“…Treatment schedule: initiate ideally within 1 wk post-op: [98][99][100][101] 12-15 contractions/session 98,99,102,103,[108][109][110]112 Session frequency: 3 Â wk over 4-6 wk, particularly in the first 6 wk post-op 98,101,110 e Reduced pain (NPRS, VAS) 98,105 e Improved muscle strength (isometric and isokinetic, dynamometry, tensiometry) 99,100,[102][103][104][107][108][109][110]112,113 e Reduction in loss of muscle volume or thickness (CT, MRI, US imaging) 100,107,113 e Self-reported function (ADL scale) 108 e Gait parameters (motion analysis) 103 e Achieving clinical milestones 108 e Limb circumference (tape measure) 105,110 e Functional performance (lateral step-up, anterior reach) 100,101 Rationale for recommended NMES protocol…”

Section: A Anterior Cruciate Ligament Reconstructionmentioning

confidence: 99%

“…Strength was not measured in 2 other studies. 101,105 Accordingly, our recommendations for strengthening quads are to initiate NMES as early as possible, even on POD 1 and ensure that the intensity elicits a maximum tolerated contraction; 10-15 contractions, 10-15 s ON:OFF duration, 3-5 times that of the ON time.…”

Section: A Anterior Cruciate Ligament Reconstructionmentioning

confidence: 99%

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Neuromuscular Electrical Stimulation for Treatment of Muscle Impairment: Critical Review and Recommendations for Clinical Practice

Nussbaum

Houghton

Anthony

et al. 2017

Physiotherapy Canada

126

109

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In response to requests from physiotherapists for guidance on optimal stimulation of muscle using neuromuscular electrical stimulation (NMES), a review, synthesis, and extraction of key data from the literature was undertaken by six Canadian physical therapy (PT) educators, clinicians, and researchers in the field of electrophysical agents. The objective was to identify commonly treated conditions for which there was a substantial body of literature from which to draw conclusions regarding the effectiveness of NMES. Included studies had to apply NMES with visible and tetanic muscle contractions. Four electronic databases (CINAHL, Embase, PUBMED, and SCOPUS) were searched for relevant literature published between database inceptions until May 2015. Additional articles were identified from bibliographies of the systematic reviews and from personal collections. The extracted data were synthesized using a consensus process among the authors to provide recommendations for optimal stimulation parameters and application techniques to address muscle impairments associated with the following conditions: stroke (upper or lower extremity; both acute and chronic), anterior cruciate ligament reconstruction, patellofemoral pain syndrome, knee osteoarthritis, and total knee arthroplasty as well as critical illness and advanced disease states. Summaries of key details from each study incorporated into the review were also developed. The final sections of the article outline the recommended terminology for describing practice using electrical currents and provide tips for safe and effective clinical practice using NMES. This article provides physiotherapists with a resource to enable evidence-informed, effective use of NMES for PT practice.

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“…NMES using percutaneous electrodes is noninvasive and easy-to-use, and has reportedly shown good results in preventing muscle weakness and decreasing the thickness of the quadriceps muscle after anterior cruciate ligament surgery. [10][11][12][13][14][15] We therefore hypothesized that NMES could prevent deltoid muscle atrophy after arthroscopic rotator cuff repair, and performed a single-blind randomized study to compare the decrease in deltoid thickness in the NMES group and the transcutaneous electrical nerve stimulation (TENS) group (control).…”

Section: Introductionmentioning

confidence: 99%

Effects of Electrical Muscle Stimulation for Preventing Deltoid Muscle Atrophy after Rotator Cuff Repair: Preliminary Results of a Prospective, Randomized, Single-blind Trial

Lee

Cho

Ahn

et al. 2019

Clin Shoulder Elbow

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Background: This study investigates the effects of neuromuscular electrical stimulation (NMES) in preventing deltoid atrophy during the first 12 weeks after arthroscopic rotator cuff repair.Methods: Eighteen patients undergoing arthroscopic repair of a medium-sized rotator cuff tear by a single surgeon, were randomized into two groups: NMES and transcutaneous electrical nerve stimulation (TENS). Each group used the respective device for 6 weeks after surgery. Pain was measured at baseline, 6, and 12 weeks postoperatively, using the visual analogue scale (VAS); range of motion (ROM), abduction strength and functional scores were measured at baseline and 12 weeks postoperatively. Deltoid thickness and cross-sectional areas were measured using magnetic resonance imaging at 12 weeks postoperatively.Results: At 12 weeks post-surgery, no statistically significant difference was observed between the NMES and TENS groups in the pain VAS, the Disabilities of the Arm, Shoulder and Hand score, ROM, and abduction strength. Postoperative decrease in the thickness of the anterior, middle, and posterior deltoid, at the level just below the coracoid, was -2.5%, -0.7%, and -6.8%, respectively, in the NMES group, and -14.0%, -2.6%, and -8.2%, respectively, in the TENS group (p=0.016, p=0.677, and p=0.791, respectively). At the level of the inferior glenoid tubercle, postoperative decrease in area of the deltoid was -5.4% in the NMES group and -14.0% in the TENS group, which was significantly different (p=0.045).Conclusions: NMES has the potential for reducing deltoid atrophy after arthroscopic rotator cuff repair, suggesting that NMES might help minimize postoperative atrophy after various shoulder surgeries.

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A randomized controlled trial of electrostimulation effects on effussion, swelling and pain recovery after anterior cruciate ligament reconstruction: a pilot study

Cited by 16 publications

References 22 publications

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Neuromuscular Electrical Stimulation for Treatment of Muscle Impairment: Critical Review and Recommendations for Clinical Practice

Effects of Electrical Muscle Stimulation for Preventing Deltoid Muscle Atrophy after Rotator Cuff Repair: Preliminary Results of a Prospective, Randomized, Single-blind Trial

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